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Home/Diagnosis/ICD-10 Coding for Dentoalveolar Abscess

ICD-10 Coding for Dentoalveolar Abscess

K04.6
K04.7

Complete ICD-10-CM coding and documentation guide for icd-10 coding for dentoalveolar abscess includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Periapical Abscess
Dental Abscess
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Key Information: ICD-10 Coding for Dentoalveolar Abscess

Essential facts and insights about ICD-10 Coding for Dentoalveolar Abscess

Use ICD-10 code K04.6 for periapical abscess with sinus, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Periapical abscess with sinus

Billable Code
K04.6
Billable

Diagnostic Criteria

  • • Sinus tract present with purulent drainage

Applicable To

  • • Dentoalveolar abscess with draining sinus

Important Notes

  • • Ensure documentation clearly states the presence of a sinus tract.

Periapical abscess without sinus

Billable Code
K04.7
Billable

Diagnostic Criteria

  • • No sinus tract identified
  • • Localized fluctuant swelling
  • • No drainage pathway observed

Applicable To

  • • Dentoalveolar abscess without draining sinus

Important Notes

  • • Ensure documentation clearly states the absence of a sinus tract.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z01.21

Abnormal findings during dental exam

Use if abscess is discovered during a routine dental exam.

Frequently Asked Questions

What is the ICD-10 code for a dentoalveolar abscess with a sinus?

The ICD-10 code for a dentoalveolar abscess with a sinus is K04.6. It is used when a sinus tract is present with the abscess.

How do you code a dentoalveolar abscess without a sinus?

For a dentoalveolar abscess without a sinus, use ICD-10 code K04.7. This code applies when there is no sinus tract present.

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